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Old 11-03-2005, 05:43 AM   #1
Allen Yeh
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Hey everyone,

I'm not sure if anyone can help but after searching through the web I'm left at square one so any suggestions would be appreciated.

Since Tuesday morning my right leg has felt weak and when I walk and extend my leg fully it felt painful and like it could just buckle. This sensation has been with me since, it feels like it's on the back of my leg behind on the opposite side of my knee, it feels almost like it's at the top of my calf (gastroc, not soleus). I did the ME Clean and jerks on Monday but I don't remember straining anything...no pains Monday at all. It feels like all of a sudden Tuesday morning it just happenend. When I'm sitting still I have no pain at all, but when I walk I feel the twinge and the weakness, also when I walk up stairs through some painful experimentation if I walk up the stairs and point my toes it is VERY painful (like a jolt is being sent down my lower leg). If I stand straight totally balanced I feel nothing but if I shift weight to my right leg I feel as if it would just buckle. I tried a brief run (maybe not the smartest thing) no real pain for the 200 or so yards but as soon as I stopped I felt as if I couldn't support my weight on that leg at all.

I wanted to get anyone opinion/experience on this since I'm clueless and have never had anything like this happen before especially since I don't recall injuring myself.

Another question is that I was planning on doing upper body stuff while this was problematic. If it continues on into next week I think a visit to the doctor might be called for?
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Old 11-03-2005, 09:08 AM   #2
Christian Lemburg
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Please get to a medical doctor, immediately, to rule out a deep venous thrombosis (unlikely, but potentially life threatening in rare cases). If your leg is in any way swollen and/or warm and red, hurry up.

Hopefully this is just a muscular problem that you can get cured with some self-massage, but the fact that you have no clear clue where it came from and the onset and the location of the pain makes me extremely nervous.

Some links to inform you about the condition:

- http://www.patient.co.uk/showdoc/23068982/
- http://www.nlm.nih.gov/medlineplus/e...cle/000156.htm
- http://www.findarticles.com/p/articl...37/ai_14611787

Good luck, fast recovery, and I really hope this is not what I suspect,

Christian
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Old 11-03-2005, 09:24 AM   #3
Allen Yeh
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Christian,

I read the links and that alarms me a bit....but I have no swollenness and/or warm and red.

Should I be going to the ER? General practice doctor? Or some kind of specialist?

I ask this because I currently don't ahve a physician because we only moved here a few months ago and it hasn't been time for a checkup yet.

Thank you,
Allen
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Old 11-03-2005, 10:03 AM   #4
Christian Lemburg
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I personally would go to the ER (Emergency Room) at some hospital nearby, but - I am living in Germany, and it would just cost me 10 EUR hospital fee, even if nothing would be found. It's your decision - I don't know about your health care system. I would go somewhere, fast, where they can check it.

The MedLinePlus article says "Call your health care provider if symptoms suggestive of DVT occur.
Go to the emergency room or call the local emergency number (such as 911) if chest pain, difficulty breathing, fainting, loss of consciousness, or other severe symptoms occur in a person with a DVT."

PatientUK says: "You will normally be seen urgently at hospital if you have a suspected DVT. Tests may be done to confirm the diagnosis."

Unfortunately, this condition can only be diagnosed with some equipment (MedLinePlus mentions doppler ultrasound and venography/plethysmography), so I would opt for a hospital ER instead of the "family doc", even if this means some more waiting in a crowded waiting room.

Good luck, and let's hope I am just paranoid,

Christian
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Old 11-03-2005, 12:21 PM   #5
Frank C Ollis
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Allen,
keep us posted.
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Old 11-03-2005, 01:17 PM   #6
Allen Yeh
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Appointment set for tomorrow morning, was going to do Angie this afternoon till my wife told me gave me a reality check "Your going to workout with a possible blood clot in your leg? What should I put on the tombstone?"

So we shall see what the doc says.
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Old 11-03-2005, 05:07 PM   #7
Tom Brose
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First, hope it turns out well, then you can join us for some CrossFit DC workouts.

Second, the answer to your wifes question is easy, if you died from doing Angie, she would HAVE to put your time on the tombstone (and hopefully you could go out "as rx'd")

Maybe not so funny to you, and dont tell her.

take care
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Old 11-03-2005, 09:54 PM   #8
David Besachio
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Allen:

Barring some unusual circumstance such as venous trauma or hypercoagulability and given your symptoms, I think a blood clot is fairly low probability. My caveat, however is that I never say never and never say always when it comes to things like this. I think Christian has a good point. A classic sign of of DVT has been when you dorsiflex your toe, some people will get calf pain. Regardless of the direction your toe is going, this is not very sensitive or specific for DVT but it's ingrained in our medical training. The acute onset of your pain is a little unusual as well. DVT is often insidious while Pulmonary Embolism is acute. Weakness would be an unusual characteristic as well. Consider other possibilitis such as a compartment syndrome, trigger point (I expected this one from you Christian :-), tenosynovitis, stress injury, plantaris tendon rupture or other muslce strain/tear, etc. A physical exam would really helpful here so you're on the right track. Good luck. I hope it turns out to be a big bunch of nothing.
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Old 11-04-2005, 09:48 AM   #9
William Hunter
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Allen, it's really a good idea you're getting cleared of all potential "red flags". Christian and David are all over it.

However, after DVT is ruled out, you'll be needing some instructions on how to treat your injury. Like David, I was awaiting Christian's links to self treatment of TrPs.

Come on Christian! We need links to the gastroc, biceps femoris, popliteus and plantaris muscles :-)

Good luck Allen.
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Old 11-04-2005, 10:00 AM   #10
David Werner
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Allen

Christians' warning about venous thrombosis should be checked out, but when that is ruled out here is a possibility.

The Sciatic nerve will produce all those symptoms - I've had all that you listed. The sciatic nerve passes through the lower lumbar region of the spine, your symptoms are some classic symptoms of one or more bulging or ruptured discs. I had three lumbar discs rupture and discovered this the same way you did - weakness and pain in the morning. In my case I crashed spectacularly when I jumped out of bed to turn off the alarm clock.

If your pain and weakness is worst when you rise in the morning and gets better through the day, it's another indication of disc problems. The inter-vertebral discs swell with fluid while we sleep and the spine has less compression on it. After waking, the discs compress some as the spine supports loads. It takes about 1/2-1 hour of moving around for this morning swelling to subside.

If it turns out you do have a disc problem it's not the end of the world, get some good coaching to make sure you can hold a nuetral spine under all circumstances, and have proper hip function. Making your back and abs as strong as you can make them will allow normal activity.

Let us know what you find.

Regards
Dave Werner
Crossfit North
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